Active NPI
Michelle Andrade, D.C.
- Chiropractor
- Austin, TX
National Provider Identifier
1164742201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11195
- Practice address
- 2009 S Capital of Texas Hwy Ste 320
Austin, TX 78746-7748 - Phone
- (512) 371-1886
- Fax
- (512) 371-1665
- NPI assigned
- Jun 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11195 | TX | Primary |
Addresses
Primary practice location
2009 S Capital of Texas Hwy Ste 320
Austin, TX 78746-7748
Mailing address
2009 S Capital of Texas Hwy Ste 320
Austin, TX 78746-7748
Phone (512) 371-1886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598077315 | Other | TX | BILLING NPI |
Other names 1
- Dr. Michelle Perez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11195 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosewood Chiropractic, PC | Chiropractor | Current | Accepting new patients |
Locations
2009 S Capital of Texas Hwy
Ste 320
Austin, TX 78746
Phone (512) 371-1886
5555 N Lamar Blvd
Ste C121
Austin, TX 78751
Phone (512) 371-1886
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Austin, TX
- NPI 1598077315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1164742201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2009 S CAPITAL OF TEXAS HWY STE 320",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787467748",
"telephone_number": "512-371-1886",
"fax_number": "512-371-1665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 S CAPITAL OF TEXAS HWY STE 320",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787467748",
"telephone_number": "512-371-1886",
"fax_number": "512-371-1665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRADE",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-10",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BILLING NPI",
"identifier": "1598077315",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "PEREZ",
"prefix": "DR.",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.